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Maine rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $42.66 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.90 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $46.77